Cox, Wesley
Cox, Wesley was paid $537K by Medicaid between Apr 2018 and Dec 2024, across 13 billing codes. Its largest line is V2020, Frames, purchases — 41% of everything it billed.
33Billing provider infoCOX, WESLEY
PITTSBURGH, PA 15235
PITTSBURGH, PA 15235
33aNPI1700309556assigned 07/24/2017
33bProvider typeOptometrist
28Total paid$537K
24GClaims12,702
24DCodes billed13
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#39 of 983
Median peer was paid$20K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 163 | $7K | |
| 2020 | 87 | $2K | |
| 2021 | 2,278 | $96K | |
| 2022 | 2,870 | $111K | |
| 2023 | 4,063 | $173K | |
| 2024incomplete | 3,241 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 41% | 2,198 | 2,189 | $218K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 1,925 | 1,909 | $101K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,130 | 2,097 | $83K |
| 92015 | Determination of refractive state | 6.1% | 4,056 | 4,041 | $33K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.7% | 529 | 528 | $31K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.7% | 483 | 473 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 443 | 439 | $27K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 77 | 77 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 675 | 668 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | 99 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12 | 12 | $704.06 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 45 | 45 | $221.35 |
1 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 30 | $204.22 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.